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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197402404
Report Date: 03/29/2021
Date Signed: 07/29/2021 12:41:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2021 and conducted by Evaluator Antonio Almanza
COMPLAINT CONTROL NUMBER: 30-CC-20210301120030
FACILITY NAME:ONEGENERATIONFACILITY NUMBER:
197402404
ADMINISTRATOR:VARDANYAN, KRISTINEFACILITY TYPE:
830
ADDRESS:17400 VICTORY BLVD.TELEPHONE:
(818) 708-6377
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:60CENSUS: 39DATE:
03/29/2021
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Director Kristine VardanyanTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Allegation - Facility has safety hazards that poses a danger to infants.
Allegation - Fire extinguisher is not accessible.


***Amended findings.
INVESTIGATION FINDINGS:
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On July 29, 2021 at 12:23 pm, Licensing Program Analyst (LPA) Antonio Almanza, conducted an unannounced site visit for the purpose of delivering an Amended finding for complaint received on March 1, 2021, Control # 30-CC-20210301120030. LPA met with Kristine Vardanyan, Director, and explained the purpose of the visit.

During the course of the investigation, LPA conducted interviews and made observations in regard to Allegation #1 - Facility has safety hazards that poses a danger to infants and Allegation #2 - Fire extinguisher is not accessible.

On 03/05/2021, LPA conducted a complaint Tele-Inspection at the facility, toured the facility and made observation in regard to allegations.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 30-CC-20210301120030
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ONEGENERATION
FACILITY NUMBER: 197402404
VISIT DATE: 03/29/2021
NARRATIVE
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Allegation #1
LPA observed 4 infant classrooms and observed the locations of the fire extinguishers in each classroom. LPA observed the fire extinguishers hanging on the walls of each classroom and did not observe any obstructions making the fire extinguishers inaccessible.

Allegation #2
LPA observed 4 infant classrooms and observed the changing table and the items around the changing tables in each classroom. According to the Reporting Party, “changing table is within inches from an activity center that is mid-calf high and can easily be tripped on when a staff worker is changing an infant”. LPA did not observe any activity centers next to the changing stations that may pose a tripping hazard to staff changing an infant in any of the infant classrooms.

Based on available information and evidence obtained over the course of the investigation LPA is unable to determine if Allegation #1 - Facility has safety hazards that poses a danger to infants and Allegation #2 - Fire extinguisher is not accessible did or did not occur. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.


There are no deficiencies being cited on this report. An Exit Interview was conducted, a copy of this report, and Notice of Site Visit were explained and provided to the Director KRISTINE VARDANYAN.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2021
LIC9099 (FAS) - (06/04)
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